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HomeMy WebLinkAbout0104098-HVAC (furnace)OSHKOSH ON THE WATER 965 CUMBERLAND TRL STEINBRUNER HEATING & COOLING Job Address Contractor Fuel System CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Gas J ~J Oil New J Forced Air I ~J Radiant Electric I ~J Hot Water Owner QUINN P SPADER/AMY S JONES Category 500- Residential-Heating & Ventilating L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I Heat Loss I~ As Approved O Existing ~ Not Applicable I Value BTU Rate I~ As Per Plan ~) Variable ~ Other I Value No Create Date Plan L~ Solid 104098 09/10/2003 Other Vent J 60m btu Use/Nature SFR/Replace furnace and line chimney. of Work Fees: Valuation Issued By: $2,000.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $35.00 Date 09/10/2003 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920) 426-1830 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. ~ BS/i~/2003 - 0s:02 1920d26i890 STEINBRUNER HEATING: PAGE CiW of Osh~oah Divisi~ of Inspection ~.O. ~x 1130 ~osh, WI 54903-1 I ~ (920) 23~5050 [~ (920) 23~50~ Application(s) and Oshkosh Wl normal permil fee, wi OR ~!.nl~ are, contraCt.~l! FO,u want this braces lOB Al}DRESS__ COI R ClOR C'IIECK li~ ALL APPLI ~nCATEGORY gin F~ily FUEL ~rced Air ~Radianl IS C~Y BEING ~: All chimneys ~AT LOSS cs HVAC PERMIT APPLICATION All information afl~ bold categories m~st be provide~ Incomplete applications will not be Woccssed. (s) can be brought to City Hall, Room 205 or mailed to Insg 128. Commencing work withoul permit(s) will result in fee ieb ever is greater. .participating in the Permit fee AcLo.unt System and ~ red throuzh your account ~l]. CABLE )uplex ClMulti-Family [3Rental ClComm fqElectnc I~Solid SYSTEM ~New FISolar rlOther DESCRIPTION OF ALE WORK BEING DONE VALT~ (Including labor tlLECTRICAL CONTI~ ]Steam E]A/C rlVent ElElectric CIHot Water CISuppl.DCc ANED [3No ~res - LINER SIZE -~ # & MANUI: s~-ed per the BTU's being vented, 1Chinmey A ~h!mney B ~ire~t Vent aC ]As Approved ~mx~stmg f'lNot Applicable '1As Per Plan I-Ivariable t'-lOther Value ..... ~.~ and all materials Including light fixtures) $ o'~ b~Y'O ~ ACTOR .~__.r~'a r~ OR ~Elettrk Inst~llstio. V~i :ction Services, PO Box 1128, ; being doubled or $ 100,00 plus the ave adqq~atefunds, check · z q-tO-os ~rcial r'llndustrial ~l~lace , Burner C'lURER 3102 ~9/1~/2003-09:02 19204261800 STEINBRUNER HEATING: PAGE 02 Electric Installation Verifica (AC have b~en co at the foIIowi ag address: (Electrical Contractor N~) (City) ~act~ to ~rfo~ ~le~fic insrallation work for ~ (Addr~s wh~ work will be p~ The nature o~the work consists of: (Check One or Describe the Nab ~ ~econnection or new circuit for replacement Heating PI -- x. Recormection ornew circuit for replacement Electric W .~ water h~ater. __ geconnecfion of the Service Entrance Cable, Meter Bog i and lighting fixture~ due to siding / soffit installatim .[ £ntrance Cables will require a separate permit. ~ ~econnecti0n or new circuit for the replacemem ofoth¢: ,~, appliances / fixtures. _ n~ew circuit for the add!tion of A/C to an individual dwe t individual systems m a duplex or condominium), I electrical outlets. thor, , The value of t~is work is $ I hereby venf9 this work will be performed by an employee of this lhe reconnectian / installation wild be done in compliance with manufa requirements.[ ( 'gn ,C mpany Officer) (print Name of Officer) )n (State) (~p Code) c of party contractcd to) rformed) re of Work) at and/or A/C Condenser. t~ Heater or power vcntod alterations to receptacles Note: New Service }crmanently wired iag uni~ (house or the ading required service ~pany and Mahcr verify :turcr and Elec~c code (Date)